M67001-16-T-0017-0002_Attachment_1_Report_F-1_Training_Assist_Roster.pdf

M67001-16-T-0017 Attachment 1 Report F-1 Training Assist Roster

2d MAW ALS-S Team Seminar Attendance

Course Name:_____________________________________________________ Start Date: ____/____/______ End Date: ____/____/______

Instructor’s Name:_________________________________________________ Month Day Year Month Day Year f

Instructions:

All columns: PRINT CLEARLY and fill in all information requested, as you would like it to appear on your certificate.

1. Name: Your last name, first name and middle initial.

2. Rate: (ex. LSCS, LS1, IT3 etc.) If civilian, please provide your preferred salutation (Mr., Mrs., Miss, etc.), as you would like it to appear on your certificate.

3. Command/Division, or Organization: If assigned to a ship, please include both the name and hull number of that ship, as well as your division. Ashore personnel/government civilians, provide the full name of your activity. Government contractors, provide the name of your company.

4. E-Mail Address: Work address is preferred.

1. Name (last, first, middle initial) 2. Rate 3. Command or Organization 4. Email Address M TU W TH FR